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Contact Information

STEPHANIE R MARTIN, MD
2401 BRANDERMILL BLVD
SUITE 250
GAMBRILLS, MD21054-1690
 Phone: 410-721-1507
 Fax: 410-721-1510
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Sports Medicine

207RS0010X 11 Physician/Internal Medicine
 

Student in an Organized Health Care Education/Training Program

390200000X
Indicates primary specialty

NPI Profile & details for STEPHANIE R MARTIN · (Female)

NPI # 1891992376
Status Active
Credentials MD
Entity Individual
Enumeration date 06/28/2007
Last updated 04/01/2015 - About 11 years ago
Sole proprietor 1 No
Identifiers
  • DE License # C7-0004604
  • MD License # D73127
  • VA License # 0116019263
  • MD Medicaid 053826400
  • DC Other K6440003 BCBS
  • MD Other 8527802 AETNA HMO
  • MD Other 9936846 AETNA PPO
  • MD Other 97725101 BCBS
Hospital affiliation(s)
  • ANNE ARUNDEL MEDICAL CENTER - (Acute Care)
    2001 MEDICAL PARKWAY
    ANNAPOLIS, MD 21401
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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